Willo Wisotsky, PHD-Psychologist, PC

Primary specialty

Health PsychologistTaxonomy code 103TH0004X

License

016173 Issued in NY

Legal business name

WILLO WISOTSKY, PHD-PSYCHOLOGIST, PC

Practice address

35 Crooked Hill Rd Ste 203
Commack, NY 11725-5415

Phone

(631) 804-8830

NPI assigned

May 25, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Willo Wisotsky, PH.D.

Title

Psychologist/President

Phone

(631) 804-8830

Specialties & licenses 2

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1306281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306281600000",
    "number": "1811280795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 FOLGER LN",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117465805",
            "telephone_number": "631-804-8830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 CROOKED HILL RD STE 203",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117255415",
            "telephone_number": "631-804-8830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLO WISOTSKY, PHD-PSYCHOLOGIST, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-25",
        "last_updated": "2011-05-25",
        "status": "A",
        "authorized_official_last_name": "WISOTSKY",
        "authorized_official_first_name": "WILLO",
        "authorized_official_title_or_position": "PSYCHOLOGIST/PRESIDENT",
        "authorized_official_telephone_number": "631-804-8830",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "NY",
            "license": "016173",
            "primary": false
        },
        {
            "code": "103TH0004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Health",
            "state": "NY",
            "license": "016173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wigwam Hair Inc.
• Alison Rae Wilkins
• Clarence Willaims V
• Gail Williams, OTR/L
• Jada Williams, LMHC
• Kaylyn Elizabeth Wilson, MHC-LP
• Melissa Robin Winikow
• Willo Wisotsky, PH.D.
• Lisa Ann Wolf, M.P.T.
• H William Wolfson, DC

• Health Psychologist in Commack, NY
• Providers in Commack, NY by specialty
• Health Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.